What is AHP?

Highland Hospital’s health care plans take advantage of tiered networks. Based on the tier in which you obtain care, you will see differences in the pricing of copays and coinsurance. Accountable Health Partners is the clinical network associated with Tier 1 benefits for Highland’s plans.

You may realize considerable savings in your out-of-pocket expenses by choosing to get health care for you and your covered dependents from providers in the AHP network.

The Freedom to Choose

AHP is not an insurance company or health care plan. It is a clinically integrated network of physicians and hospitals, all of which participate in the network of the plan's third-party administrators: Excellus BlueCross BlueShield and MVP Health Care. You still have the choice to see health care providers within the broader Excellus and MVP national networks.

*But remember: anytime you receive care from AHP providers, you enjoy lower out-of-pocket expenses in the form of lower copays and coinsurance.

Why AHP for Highland Hospital Employees?

Highland Hospital is working with AHP and incentivizing employees to use the network for several key reasons:

What if AHP doesn’t Include Services I Use?

In some cases, the facility, provider or service you need may not be available in the AHP network. In those cases, covered services received from non-AHP providers within the Excellus or MVP national networks will be covered at the Tier 1 (AHP) cost-sharing level. Click here to see a full list of those specialties.

This is not an offer to purchase or a solicitation of an offer to purchase any securities or interest in Accountable Health Partners, LLC (AHP). An offer will only be made by means of a confidential private placement memorandum and subscription agreement.

Wound Assessment Descriptors

Refer to these definitions and descriptors as you complete the Essential Assessment Questions

Home Care Referral Considerations

Things to keep in mind:

The patient’s insurance dictates what homecare can provide and must follow regulations for payment

Wound care needs to be skilled, medically necessary and medically appropriate according to evidence-based best practice needing nursing oversight

Specific examples of non-skilled wound care include:

Applying topical ointment

Dry dressing only

Wet to dry dressings

Application of pressure wraps with no open wounds

To provide comprehensive care, please notify any other physician active in patient care of your referral to homecare

Insurance considerations:

Medicare/Medicare HMO patient must be homebound (trouble leaving home without help [e.g., using a cane, wheelchair, walker, or crutches]; needing special transportation; or requiring help from another person) because of an illness or injury, or leaving home isn't recommended because of condition, normally unable to leave home because it's a major effort